HomeMy WebLinkAboutPermit Building 1993-07-29SPtrINGFIELE)
RESID ENTIA L
PERMIT APPLICATION
lnspections: 726'3769
O{fice: 726'3759
LOCATION OF PROPOSED WORK:-
h,
JOB NUMBER
225 Fifth Street
Springfield, Oregon 97477
z6-ASSESSORS MAP:
LOT: BLOCK:SUBDIVISION
PHONE:
ZIP:STATE:2
CITY:
ADDRESS
OWNER:
€
NEW
-
REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK:
PHONEEXPI RESADDRESS
ELECTRICAL:
MECHANICAL:
CONTRACTOR'S NAME
GEN ERAL.
CONST.
CONTRACTOR #
* OF BDRMS:
_ OFFICE USE _
FLOOD PLAIN
WATER HEATER:
* OF UNITS:
SECONDARY HEAT
SOUARE FOOTAGE:
QUAD AREA:
# OF BLDGS ZONING CODE:
OCCY GROUP:
, OF STORIES
CONSTR. TYPE:
HEAT SOUFICE:
To request an inspection, you must call 726'3769. This is a 24 hour recording' All inspections reques
made the same working day, inspections requested after 7:00 a'm' will be made the following work
ted before 7:00 a.m
day.
will be
REQUIRED INSPECTIONS
fI TemporarY Electric
ll
Rough Mechanical - Frior to
cover.
Final Plumbing - When all
plumbing work is comPlete.
Site lnspection - To be made
af ter excavation, but Prior to
setting lorms.
Rough Electrical - Prior io Final Electrical - When all
electrical work is comPlete.cover
Underslab Plumbing / Electrical /
Mechanical - Prior to cover.
Electrical Service - Must be
approved to obtain Permanent
electrical Power.
Final Mechanical - When all
mechanical work is comPlete.
Footing - After trenches are
excavated.Fireplace - Prior to facing
materials and framlng lnsP.
Final Building - When all
required insPections have been
approved and building is
completed.
Masonry - Steel location, bond
beams, grouting.Framing - Prior to cover'
Foundation -'After forms are
erected but Prior to concrete
placement.
Wl orher
Wall/Ceiling lnsulation - Prior to
cover
Underground Plumbing - Prior
to filling trench.[-_l Drywall - Prior to taoing
MOBILE HOME INSPE TIONS
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking'Wood Stove - After in';tallation'
Post and Beam - Prior to floor
insulation or decki ng.lnsert - After firePlace approval
and installation of unit.
Blocking and Set'UP - When all
blocking is comPlete.
Floor lnsulation - Prior to
decki ng.Curbcut & Approach - After
forms are erected but Prior to
placement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
SanitarY Sewer - Prior to f illing
t ren ch.Sidewalk & DrivewaY - After
excavation is complete, forms
and sub-base material in Place.
Electrical Connection - When
blocking, set'uP, and Plumbing
inspections have been aPProved
and the home is connected to
the service Panel.
Slorm Sewer - Prior to filling
trench.
Water Line - Prior to filling
trench.
I-_l Fence - When completed'
Final - After all required
inspections are aPProved and
porches, skirting, decks, and
venting have been installed.Street Trees - When all required
trees are Planted.Rough Plumbing - Prior to
covcr.
tl
l
E
E
E
E
E
E
E
E
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
-
Corner
-_
Panhandle
-
Cul-de-sac
Setbacks
P.L.HSE GAR
N
S
E
ACC
IS I'HE PROPOSED WORK IN THE
HISTORICAL DISTFIICT, OR ON
THE HISTORICAL REGISTEB?
--
lf yes, this application must be signed
anrl approved by the Historical
Coordirrator prior to permit issuance.
APi)no\,/ED:
VALUE
.52
/9.3 I
/@_
(A)
X $/SQ. FT.
Total Value
Building Permit Fee
State Su rcharge
Total Fee
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is grantc(l c,n tho express condi.tion that the said
constructiOn shall, rn all respects, conform to the Ordinance
adopted by the City of Spri ngfield, including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any J>rovisions of said ordinances.
Plans Reviewecl By Date
Pian Check Fee: -
Date Paicl
Receipt Nurnbcr:
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Chitrge is due on all uncleveloped
properties within the City limits which are being irnproved.
ITEM
Fixtu res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)
N0
FT.
FT.
FT.
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Fi replace Unit
Dryer Vent
(D)
N0Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood By signature, I state antl agree, that I have caref ully examinecl
the completed application and do hereby certify that all
information hereon is true and correct, and I f urther certify
that any and all work pcrformed shall be done in accordance
with the Ordinances o{ the City of Springfield, and the Laws
of the State of Oregon pertaining to the work clescribed
herein, and that NO OCCUPANCY wilt be made of any
structure without permission of the Building Safety Division.
I further certify that orrly conlractors and employees who
are in compliance with ORS 701.055 will be used on this
project.
I f urther agree to ensure that all required inspectio6s are
requested at the proper time, that each address is readable
from the street, that the permit card is located at the f ront
of the property, and the approved set of plans will remain
23Date7-?7-
St to
Sig natu re
on the site at all times durin
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
/E==
?qeDATE PAID
AMOUNT BECEIVED
RECEIVED BY
VALIDATION:
RECEIPT NUMBER
,/b-